Published on: 5/6/2025
A lump in the lower abdomen for females is commonly due to ovarian cysts, developmental issues like hematocolpos from an imperforate hymen, or other benign cysts, though rare causes like pancreatic lymphangioma can occur.
When a female has a lump in the lower abdomen, several common conditions could be responsible. One frequent cause is an ovarian cyst, which is a fluid-filled sac that can grow on or inside the ovary. These cysts are usually benign and might not cause pain unless they become very large or twist. In adolescents, a lump might sometimes result from developmental issues, such as an imperforate hymen that prevents menstrual blood from flowing out. This buildup, called hematocolpos, can cause swelling in the lower abdomen. Beyond these, additional benign cysts in other abdominal tissues can form and be felt as lumps. Although less common, benign tumors like pancreatic lymphangioma, which is a growth of lymphatic vessels, may also present as an abdominal mass. Because the causes of abdominal lumps vary, and they can sometimes be signs of conditions that need treatment, it is important for anyone who discovers a new lump in this area to have it evaluated by a healthcare provider. They may use imaging tests such as ultrasound, CT scans, or MRI to determine the source and decide on the best management plan.
(References)
Makris GM, Macchiella D, Vaidakis D, Chrelias C, Battista MJ, Siristatidis C. Abdominal tumor in a 14-year-old adolescent: imperforate hymen, resulting in hematocolpos-a case report and review of the literature. Case Rep Obstet Gynecol. 2015;2015:429740. doi: 10.1155/2015/429740. Epub 2015 Feb 8. PMID: 25737786; PMCID: PMC4337051.
Goel A, Garg PK. Abdominal Cyst in a 39-year-old Woman. Oman Med J. 2019 Mar;34(2):172-173. doi: 10.5001/omj.2019.32. PMID: 30918614; PMCID: PMC6425051.
Ray R, Baruah TD, Mahobia HS, Borkar A. Pancreatic Lymphangioma: An Unusual Cause of Abdominal Lump. Cureus. 2021 Nov 10;13(11):e19452. doi: 10.7759/cureus.19452. PMID: 34926026; PMCID: PMC8654082.
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